出生人口下降背景下广东省县(区)级妇幼保健机构资源配置效率评价研究OA

Objective 87 districts and counties maternal and child health care institutions with outpatient and inpatient delivery rooms operations in Guangdong Province were taken as samples to carry out an evaluation study on the efficiency of health resource allocation.To provide a decision-making basis for promoting the rational allocation of medical resources and improving the efficiency of medical resource utilization.Methods DEA operational efficiency measurement and Malmquist index analysis of 87 district and county maternal and child health care institutions in Guangdong Province were conducted with Deap 2.1 software.Results In 2022,the average values of the overall efficiency of 87 district and county maternal and child health care institutions in Guangdong Province were 0.911,of which 42 districts and counties had overall efficiency＜1,accounting for 48.28%.The average values of the total factor productivity index of all districts and counties maternal and child health care institutions in the period of 2017-2022 were 0.749,of which 77 districts and counties had total factor productivity index＜1,accounting for 88.51%.Conclusion The overall health resource allocation efficiency of 87 districts and counties in Guangdong province needs to be improved.There are regional differences in the allocation of medical resources between East,West and North Guangdong and the Pearl River Delta region in Guangdong.Low scale efficiency and inadequate technical level as well as management capac-ity restrict the overall operating efficiency of maternal and child health care institutions.It is necessary to strengthen medical tech-nology innovation,optimize management system,adjust scale and structure,and coordinating resource allocation according to lo-cal conditions,so as to promote the technological progress,achieve a balance between supply and demand and coordinated devel-opment of maternal and child health care institutions.